NPI | 1750800306 |
---|---|
Doing Business As | MONTCLAIR DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | GAGANDEEP S KOHLI President 650-556-4778 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CA 49124) |
Enumeration Date | 2017-09-14 |
Last Update Date | 2022-07-21 |